UNSPSC 85704230: Replacement of right upper femur with autologous tissue substitute, percutaneous endoscopic approach

This classification denotes the group of activities that yields a surgical intervention or procedure to replacement of right upper femur with autologous tissue substitute, percutaneous endoscopic approach. This surgical intervention or procedure is listed in the World Health Organization's International Statistical Classification of Diseases and Related Health Problems or ICD-10 as code 0QR647Z

UNSPSC 85704230, Replacement of right upper femur with autologous tissue substitute, percutaneous endoscopic approach, is a Commodity code that does not align with the state and local procurement opportunities recently solicited under it. The code nominally describes an orthopedic surgical procedure, yet the most recent state and local opportunities tagged to this code procure independent medical evaluation services, surgical benefit carve-out programs, occupational medical surveillance, youth detention healthcare, pharmacy benefit management, and temporary health professional staffing—none of which are direct surgical procedures or prosthetic replacements. This mismatch suggests the code is either being applied inconsistently by issuing bodies or carries a different scope in state and local taxonomies than its clinical nomenclature suggests.

The recent opportunities span five jurisdictions across three states: the City of Phoenix Retirement Office (Arizona), the City of Long Beach (California), the Washington State Department of Transportation on behalf of Washington State Ferries, Harris County Juvenile Probation Department (Texas), Collier County Board of County Commissioners (Florida), and the County of Santa Clara Health System (California). The City of Phoenix issued an RFP (RTMRFP26001, due October 16, 2026) for independent medical evaluation services to support disability benefit determinations for public safety personnel, with a maximum contract value of $750,000 over five years. The City of Long Beach issued an RFP (HR26753, due October 7, 2026) for surgical procedure carve-out benefits covering knee, hip, orthopedic, shoulder, spine, heart, weight loss, and oncology procedures through Centers of Excellence for approximately 3,800 enrolled employees and retirees. The Washington State Department of Transportation issued an RFP (RFP20260825, due October 9, 2026) for occupational medical surveillance services across 14 ferry system locations. Harris County Juvenile Probation Department issued an RFI (071626BNM, due September 25, 2026) seeking emergency and specialty medical services for detained youth. Santa Clara County Health System established a multiple-award vendor pool (RFSQHHSFY270052, due October 7, 2026) for temporary health professional staffing across ancillary clinical categories, with no guaranteed volume. Given the divergence between code nomenclature and actual procurement scope, this code shows limited decision relevance for vendors in orthopedic implant or surgical procedure supply.